GEHAReviews of geha.com

GEHA is by far the worst Dental coverage any Fed employee or retired could possibly purchase. The customer service people lie every chance they get confirm claims that are incorrect. They are running a Ponzi scheme and Arthur Nizzar is just like Bernie Madoff. The really sad part is OPM is OK with Gov employees getting screwed Dennis Hodges is #1 attached to GEHA. GEHA and BENEFEDS need to be investigated for corruption and should save the taxpayers more money. GEHA employees should all be fired immediately. Every claim this year resulted in them not reviewing my claim from overseas however there automated reply stated they had received them. The past has resulted in 90-95% or claims being resubmitted 2-3 times I now have to send all claims to a certain individual named Heather to get them processed which is UNSAT. There in no part of GEHA Dental that is any good save your money take the organization down they are affiliated with United Healthcare which is under investigation

As with other complaints, something has changed and GEHA went from decent to TERRIBLE. The customer service people know nothing -- they can't do anything more than you can do yourself on the website/portal. But, as others are saying, it's the claims processing that is the biggest joke. I have the same appointment every week and it's processed at different rates! In addition the dr is in network but processed as out of network. I send every claim back for reprocessing and nothing changes or (as happened with one) they reduce what they'll cover! You just beat your head against a wall with this company and they don't care. You have to pay your doctor's office in the end or go to collections.

I know it's stereotypical to say "I'd give 0 stars if I could," but genuinely, if I could take stars away from them for the headaches and mental breaks they have given me, I would. Working with them has been an absolute nightmare. I had coverage under my mother, and when I turned 26, I had thirty days as a grace period. I needed an appointment during that grace period for some health issues and making sure those were resolved, so I went, assuming I would be covered for the appointment and bloodwork I needed for my health issue. I find out by policy, I have to submit a claim. No problem. I do so. It gets rejected because my coverage ended. I reach out to them, informing them of the grace period. They resubmit the claim. Denied again. I find out the bloodwork was the claim they were referring to and not the appointment. I submit a claim for the appointment. I call many times to ensure both are in the system and am told yes. However, I just found out the claim I submitted myself for the appointment was lost (despite asking about it less than a month ago and being told it was found and filed), and the lab was rejected AGAIN. These bills total to $1,000. I don't have this kind of money lying around. The policy I was on SAYS I would be covered. Their claims team even TOLD ME upon review of my policy. I have been fighting this crap for half a year about. The incompetency is astounding. I don't know how any organization can be so cruel in how stupid they are. I have been having breakdowns, calling my doctor humiliated over being unable to get this claim processed, calling on a near weekly basis babysitting this garbage, being told they are doing everything they can. Are you really? And if you truly are, do you not feel even a bit of shame if this is your best? Stay away from GEHA. They truly highlight how corrupt and garbage our healthcare system really is in this country, and for anyone on it, I am so very sorry that this is what they offer government employees. You deserve better.

I am writing to formally express my frustration regarding the excessive delays in the processing of my claim, which was submitted seven months ago and has yet to be reviewed or resolved. Despite multiple follow-ups and assurances that my paperwork was received and in good order, I continue to face unnecessary obstacles and delays. Initially, I was informed that system updates caused a three-month delay. Following that, an additional month passed before my claim was assigned to a reviewer, only for it to be mistakenly canceled due to an error on your end. I have since attempted to escalate the issue multiple times, receiving conflicting information from different representatives regarding the status of my claim. I was also promised a supervisor call within 48 to 72 hours, which never occurred. As of today, I have been advised that my claim will take another 30 to 45 days for processing, pushing it into its eighth month of delay. This level of inefficiency is unacceptable, and I am now formally requesting immediate action to rectify the situation. I ask that my claim be expedited for review and processing without further delay. Additionally, I would like a direct point of contact who can provide accurate updates and ensure that my case is handled promptly. If this issue is not resolved, I will be forced to escalate further, including filing a formal complaint with regulatory authorities and sharing my experience with consumer advocacy groups. Please someone from GEHA provide an update on the immediate steps being taken to resolve my claim. I expect a response no later than 6/11/2025. Thank you for your attention to this matter. I look forward to your prompt response.

I'm a retired GOV employee with 30 years experience and GEHA is by far the WORST insurance company. AVOID it all costs. Months to process claims, 0 communication, denials. They sent me a check on a claim that never got for 3K. I found out after I filed a complaint to OPM. 2 months later and they still haven't re-issued my check, saying it takes 30 business days!!! STAY AWAY!!! Can I give -0 stars?

Despite months of calls and escalations, GEHA Refuses! Despite months of calls and escalations, GEHA has refused to pay my $105 dental claim from Oct 2024. Their customer service failed to follow up or resolve a basic issue. Avoid if you expect accountability or timely reimbursement.

Avoid these guys like the plague. We submitted out claim ten weeks ago. No one can give me a timeframe for when that claim will be processed. I can't get a straight answer from anyone. I paid $2622 out of pocket.

Had a claim from last November that they incorrectly processed as out of network when it was in network. Repeated calls got nowhere. I finally filed an official appeal and they agreed with me. However over two months later after that, they still have not reprocessed the claim. Calls and emails get the same canned response of promising to expedite it. Never happens. There is also no way to talk directly to anyone in the processing dept. 6 months to process a claim is ridiculous.